Hasegawa S, Manabe H, Shimizu T, Itoh C, Suzuki S
Department of Neurosurgery, Kuroishi City Hospital.
No To Shinkei. 2001 Mar;53(3):283-6.
The authors reported a rare case of chronic subdural hematoma presenting bilateral visual impairment caused by papilledema. A 49-year-old man was admitted to our department due to left blurred vision. On admission, ophthalmological examination revealed visual acuity disturbance on the left eye, bilateral nasal visual field defect and papilledema. CT scan and MRI demonstrated bilateral subdural hematoma. No remarkable findings were detected on cerebral angiography. After evacuation of bilateral subdural hematomas, his visual symptoms recovered. In this report, we discuss the mechanism of visual impairment caused by chronic subdural hematoma.
作者报告了一例罕见的慢性硬膜下血肿病例，该病例表现为因视乳头水肿导致的双侧视力损害。一名49岁男性因左眼视力模糊入住我科。入院时，眼科检查发现左眼视力障碍、双侧鼻侧视野缺损和视乳头水肿。CT扫描和MRI显示双侧硬膜下血肿。脑血管造影未发现明显异常。双侧硬膜下血肿清除术后，他的视觉症状恢复。在本报告中，我们讨论了慢性硬膜下血肿导致视力损害的机制。
